This form should be filled out by the technician with the machine and the customer. If the customer can not be present, he/she will need to provide information needed. Computer Check In Form Job NumberName* Date* Email* PhoneModelPasswordSerial NumberCondition Of Item(s)Problem/DiscrepancyIf necessary, may I delete all files (personal data and software programs) in order to re-install the operating system for the purpose of making your computer functional again? Yes No Number of Disks or Other Media ProvidedAC Adapter Yes No Other Hardware Checked In With UnitNote: A $40.00 fee applies for diagnostics work performed to determine issues present in system. Diagnostic fee's are waved upon approval of services. If hardware work is performed, you will receive a 30 day warranty. New issues that arise within the warranty period are considered new repairs and will be subject to new charges. It is recommended that you back up you data. PCWorkPros takes no responsibility for any personal data and software lost during repair and make no promises in the promise of recovering data. Any hardware not recovered within 30 days by owner/agent is declared forfeit of ownership to PCWorkPros and its associates. Back-up services are available at your request. Charges will apply. CommentsThis field is for validation purposes and should be left unchanged.